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Journal of Health Psychology, Vol. 9, No. 3, 421-433 (2004)
DOI: 10.1177/1359105304042351
© 2004 SAGE Publications

Psychosocial Factors in Medical and Psychological Treatment Avoidance: The Role of the Doctor–Patient Relationship

Philip J. Moore

George Washington University, USA pjmoore{at}gwu.edu

Amy E. Sickel

George Washington University, USA

Jennifer Malat

University of Michigan, USA

David Williams

University of Michigan, USA

James Jackson

University of Michigan, USA

Nancy E. Adler

University of California, USA

A community sample of 1106 adults was examined to assess the impact of the doctor–patient relationship on participants’ avoidance of treatment for a recognized medical or psychological problem. Of five aspects of participants’ previous experience with their physicians, all but waiting time predicted participants’ self-reported treatment avoidance. In two logistic regression models participants who felt their physicians listened more to their concerns were less likely to avoid treatment for both medical and psychological problems during the previous 12 months. These findings suggest that patients’ perceptions of how they are treated by physicians may help explain why many people delay or avoid healthcare treatment, even when faced with a significant health problem.

Key Words: doctor–patient • psychosocial factors • treatment avoidance


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